| NPI | 1902107535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A AMADOR Owner/President 305-885-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME28347) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |